Individual
MIRAKLE GADSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9196 COUNTY ROAD 241, WILDWOOD, FL 34785-7639
(813) 335-6447
Mailing address
9196 COUNTY ROAD 241, WILDWOOD, FL 34785-7639
(813) 335-6447
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
342232-01
NY
164W00000X
Licensed Practical Nurse
5176846
FL
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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